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| 題 名 | 齒源性角質化囊腫反覆復發十年長期追蹤病例報告=Odontogenic Keratocyst--Multiple Times Recurrence and 10 Years Long Terms Follow up Case Report |
|---|---|
| 作 者 | 謝潤華; 雷文天; 高壽延; 李永賢; 張哲壽; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
| 卷 期 | 12:1 2001.03[民90.03] |
| 頁 次 | 頁36-44 |
| 分類號 | 416.94 |
| 關鍵詞 | 齒源性角質化囊腫; 局部復發; Odontogenic keratocyst; Local recurrence; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 齒源性角質化囊腫是一常見而且無明顯臨床表徵之齒源性囊腫,較常見的症狀為疼痛之骨膨脹。放射線影像上此囊腫為單室或多室性,邊緣清晰,呈放射線通射度。文獻記載此囊腫大部份 (約79%) 發生於下顎,小部份 (約21%) 發生於上頭,而最常見的部位在下顎骨體與下顎□處,治療上應以外科手術切除為主。本文報告一個病灶位於上下顎多處及多次復發的齒源性角質化彙腫為例,患者為二十五歲女性,最初於民國八十年八月因於牙科診所接受矯正治療時,在環口放射照片中發現上及下顎骨有多處囊腫,而經轉診到本院口腔顎面外科門診並入院接受手術治療,病理切片診斷為齒源性角質化囊腫,徒因復發及多次再手術後長期在門診追蹤。 |
| 英文摘要 | Odontogenic keratocysts (OKC) is a specific form of odontogenic cysts. Wellmarginared radiolucency with a propensity for root divergency and cortical expansion are showed in radiography. Surgical enucleation is indicated. Small OKC has 20% recurrence rate btit large expansile lesion is much easier to recur. This report described a young female patient with multiple times recurrence of OKC in different locations. She had already received operations for 7 times and kept on follow up in our OPD for 10 years. She was absent for the follow up since two years ago. Recently, a new lesion was found in right mandible ramus, so the patient had to undergo another operation. In case of the common recurrence, long terms clinical & X -ray follow up is necessary for this type of patient. |
本系統中英文摘要資訊取自各篇刊載內容。